MODESTO SURGERY CENTER INC
Ambulatory Health at Orangeburg Ave, Modesto, CA

License number
California 030000552
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. GREGORY C TESLUK M.D.
Title: PRESIDENT
Phone: (209) 526-3000
Address
Address
400 E Orangeburg Ave STE 1, Modesto, CA 95350
National Provider ID: 1356463913
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MODESTO SURGERY CENTER, INC

400 E Orangeburg Ave 1, Modesto, CA 95350

Registration:
Jan 24, 1995
State ID:
C1926541
Agent:
Gregory Tesluk,Modesto, CA 95350 (Physical)

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